Lfk with hip dysplasia in children

Lfk with dysplasia of hip joints in children: gymnastics and exercises

Dysplasia of the hip joint is a congenital pathology of the arrangement of the elements that make up the hip joint. Dysplasia can be characterized as the developmental defect of all parts of the articulation.

Unfortunately, this disease occurs quite often. Depending on the type of displacement of the head of the femur, dysplasia is divided into:

• dislocation;
• subluxation;
• pre-exertion.

How to recognize dysplasia

For successful treatment it is extremely important to diagnose pathology as early as possible. If you leave the dysplasia without attention, the formation of the infant's joint will go in the wrong way, which is fraught with future unrecoverable defects, even disability.

Parents should have an understanding of the symptoms of this pathological condition, since at the first signs of dysplasia it is necessary to urgently show the child to the doctor. The most typical manifestation of dysplasia in children is the restriction of movements in the hip joint with passive hip abduction.

The presence of this attribute is checked as follows:

1. the kid is put on the back;
2. Legs bend in the knee and hip joints;
3. soft movements of the hips in different directions.

With dysplasia, passive dilution of the legs will be limited.

There is another way to determine pathology:

• the child is put on his stomach;
• his legs are bent in the manner of crawling.

If the hip joint is damaged, the disturbance will be noticeable in this posture.

What the gymnastics gives for dysplasia of the hip joints

Typically, a set of therapeutic procedures for dysplasia is to treat a situation for which a wide swaddling method is used or in the application of a tire. In addition, dysplasia in children is treated with exercise therapy and massage.

With a mild pathology, you can limit yourself to these actions, especially since gymnastics for dysplasia of the hip joints is a very effective measure. Particularly well helps with charging at an early stage of the disease. For the full recovery of the baby, several sessions of exercise therapy are sometimes enough.

Important! While the child has not learned to walk, parents should not apply to him any exercises in the position of "squatting "standing" and with the vertical position of the body. Failure to comply with this rule can lead to even greater deformation of the joint.

Massage is done once a day.

For the procedure, you should choose the time that is favorable for the child, that is, when the baby is not hungry, he is in a good mood and does not bother with anything.

The number of sessions per course is from 10 to 15. To fix the effect of all you need to go through 2-3 courses, between which there must necessarily be a break in, -2 months.

Complex of exercises for dysplasia

Girth of the joint. The child is on his back, the masseur grasps the entire joint and massages it.

Another option: in the same position, only the front surface of the thighs is massaged, after this the child is turned over belly and the same movements are done on the back of the thigh, with extreme caution, if there is an innate dislocation hips.

1. Massage begins with stroking. Hands should fit snugly against the body in the region of the hip joint. It is necessary to control the pressure of the hands, it should not be strong. Hands should slide easily over the surface of the skin and do not move it.
2. Spiral massaging movements are performed either with the entire palm, or with the forefinger and thumb. The surface of the thighs next to the genitals can not be massaged. Stroking must be performed within 3-5 minutes, then rubbing is done.
3. When rubbing, the pressure of the hands should be stronger, the hands do not just slide over the body, but shift the skin. The skin is best rubbed with pads of fingers, deeply penetrating them into the muscles. When rubbing, you can use the same technique as with stroking. The duration of the procedure is 10 minutes.

It is very useful for dysplasia in children to include massaging of the feet in LFK, to do the grinding of the buttocks and the lumbar region. These procedures improve blood circulation. Exercises do 2-3 times a day, each of them is performed 10-15 times:

• "Bicycle" - the baby is lying on his back. The legs of the child must be bent in the knee and hip joints. In this position, movements that mimic cycling are performed.
• Alternate flexion and extension of the legs. When one leg is bent at the knee, the other is straightened at this moment. Then there is an alternation.
• One leg of the child bends in the hip and knee joint. With one hand, the masseur fixes the hip joint, and the other, hugging the knee, gently presses on it and rotates the thigh inward.

When performing the "hip dilution" exercise, you should not make sudden movements, the child should not experience pain. Otherwise, this will cause a negative reaction from the baby, and in the future when performing exercise therapy he will always restlessly restless.

If a tire is placed on the child's joint, gymnastics should be carried out to the extent that is acceptable for this installation.

While pulling aside the bent legs of the baby, it is necessary to try with the utmost care to put them on the table. At the same time, it is necessary to observe all the time whether positive dynamics are present. After the health-improving courses of the exercise therapy, parents should show the child to the orthopedist.

To determine the result of therapy, radiography of the joint may be required. The doctor, having studied the picture, will determine the condition in which the joint of the baby is located.

If the physical therapy does not help, you may need a tire overlap.

But most often this measure can be avoided if in time to suspect dysplasia and conduct courses of therapeutic gymnastics.

A source: http://sustav.info/lechim/fizkultura/lfk-pri-displazii-tazobedrennyx-sustavov-u-detej.html

Hip dysplasia in children. Treatment with massage, gymnastics, physiotherapy, tire, stirrups, wide swaddling

Dysplasia of the hip joints is a violation of the musculoskeletal function resulting from underdevelopment of the hip joints, which requires immediate medical correction.

"Dysplasia" is a diagnosis that often, like a bolt from the blue, is heard in the orthopedic office on the first examination of babies. Parents of the child usually do not even know about the existence of this disease and its possible consequences.

To detect the development of dysplasia in a newborn baby, parents can independently, even before visiting a trauma doctor. Disturbing symptoms are:

• visual shortening of one leg
• asymmetry or unequal number of creases on the legs or under the buttocks
• click sound in the thigh or knee
• incomplete abduction of the hip

To confirm or refute the suspicions of parents should the pediatric orthopedist, having become acquainted with the results of ultrasound or X-ray.

If the doctor prescribes treatment, it should be urgently carried out, following all recommendations.

How to treat hip dysplasia in infants and older children?

Treatment of dysplasia in infants is simple and does not cause discomfort to the child. Depending on the degree of dysplasia, which is determined by the results of ultrasound or X-ray, the doctor can appoint the child:

• exercise therapy
• massage
• compresses with warm paraffin on the region of the hip joints
• wide swaddling, use of larger diapers
• calcium electrophoresis
• wearing a special orthopedic device (Pavlik's stirrups, Freik's pillow, Becker's panties, Gniewkowski's apparatus)

These measures are aimed at prolonged retention of the baby's legs in the bent position or their movement at a certain angle and can be assigned both in the complex and separately.

Treatment of dysplasia in older children is lengthy, complex and involves a number of disadvantages.

For a long time to limit the movement of an adult child is very difficult, and this is necessary to fix the joint in the correct position.

Often, such children can be helped only through surgical intervention.

Gymnastics for dysplasia of hip joints in children. LFK for hip dysplasia, video

Therapeutic gymnastics (LFK) for treating dysplasia in children can be carried out by parents. Despite the fact that all the movements of the exercises are very simple, with their regular repetition they quickly give a good result:

• Leaving legs. The child lies on his back, on a hard surface. Mom gently flexes the legs of the baby in the knees and lifts in the hip joints. From this position, the legs are smoothly bred to the sides, trying to touch the bent knees to the surface. Repeat 5 - 6 times
• Flexion of straight legs.The starting position of the child is the same. Mom, holding the even legs behind the heels, raises them as high as possible, trying to reach the head, 5 to 7 times
• Raising the legs from the head. In the sides, the straight legs of the child are maximally taken away, as close as possible to the head, 5 to 7 times
• Straight leg straightening. The child is still on the back. Mom aligns the lowered legs and spreads them to the sides, 7 to 8 times
• "Frog". Child on the tummy. Mom flexes the legs in the knees and hip joints in such a way that the knees touch the surface. The position of the baby resembles a frog pose, hold for about 10 seconds, repeat 5 to 7 times
• Touching with heels. The initial position of the child is a "frog". Mom connects the heels together and gently pulls them to the buttocks. Repeat 5 - 7 times
• Stopping. Child on the abdomen. Mom pulls to the level of the pelvis in turn each leg bent at the knee, and puts it on the foot. Repeat 5 times for each leg

Children's massage with hip dysplasia, video

Massage takes an important place in the complex of procedures aimed at combating hip dysplasia in children. Massage should be done by a professional masseur, but if desired, parents can learn from the specialist basic movements and perform massage themselves.

Massage movements are divided into preparatory and local. Preparatory movements - strokes, slides on the entire surface of the body, are necessary for a smooth transition to more intense actions.

After a slight warm-up, smooth soft movements change to rubbing, capable of affecting the muscles. Begin rubbing from above and gradually pass into the gluteal region, where an intensive massage of the affected joint is performed.

Both for performing gymnastic exercises, and for performing massage for the child there are a number of contraindications:

• heart disease
• hernia
• increased body temperature
• ARVI

Drug electrophoresis is effective in the treatment of dysplasia in children. Usually the orthopedist appoints 7-10 sessions of electrophoresis with calcium. During this procedure, the drug is transferred to the hip joints by electric current through the metal plates.

The duration of one electrophoresis session does not exceed 15 minutes. During this time, liquid calcium is supplied to the affected joint, which acts solely on it and does not affect other organs and systems of the child's body.

Widespread swaddling for hip joint dysplasia

Wide swaddling is used both to treat mild degree of dysplasia, and to prevent its development in infants. This method is used for children from birth to six months.

Its action consists in establishing the correct ratio of the femoral head to the acetabulum and prolonged fixation of this position.

It gives good results if treatment was started at an early stage of the disease.

Wide swaddling is performed as follows:

1. Spread a thin light diaper on a changing table
2. Thick skirt diaper folded in a triangle, spread over thin
3. Fold another dense large diaper in such a way that it forms a 20 × 20cm square, and set aside
4. Put the baby in the diaper on these diapers
5. Bend the knees bent at the knees to 90 ° C
6. The ends of the diaper-triangle wrap the child's thighs, and point the bottom corner up to the navel
7. Diaper-square, prepared earlier, lay between the legs of the child
8. Fix tight diapers well, wrapping the baby's torso with the lowest diaper
9. Loose ends of a light diaper under the upper edges

The posture in which the child is, swaddled in this way, is most favorable for the proper development of the hip joints.

Orthopedic tires for the treatment of hip dysplasia in children are devices that can fix and hold the legs for a long time in a certain position. They are somewhat different in design. This or that type of tire is prescribed by an orthopedist, depending on the severity of the disease and the age of the child.

The tire (pillow) of Freikappoint children 1 - 9 months. The time of wearing and the size of the pillow of Freik is determined by the orthopedist. Outwardly it resembles a hard roller with soft edges, which is located between the legs of the child and is fixed with the help of strings and stickers on the baby's chest.

The bus of Vilniusis a metal spacer with leather cuffs. The size of the tire is adjusted with a special screw. The legs are threaded in There are 3 standard sizes of Vilensky tires:

small (breeding at 16 - 23 cm)

medium (21 - 33 cm)

large (33 - 50 cm)

Individual tire production is possible in accordance with the exact measurements of the child.

Stamina for hip dysplasia in children

Pavlik's stirrups, as well as previous orthopedic adaptations, are named after their creator. For the treatment of dysplasia in children have been successfully used since 1944.

A distinctive feature of stirrups is the possibility of leg movement, but all of them are strictly limited to the so-called "safe" zone. There is no rigid fixation. The stirrups of Pavlik are comfortable to use.

Parents can easily replace a baby diaper, without removing them.

Usually, to achieve positive results in treatment, doctors recommend a round-the-clock wearing of Pavlik's stirrups for 5 to 15 weeks. The control of the child's health is always performed every day by the orthopedist. As the child grows, the doctor adjusts the tension of the belts.

When dysplasia is diagnosed in an older child and traditional methods no longer help or if the treatment prescribed by the doctor does not bring the desired effect, surgery is performed.

There are several types of operations to eliminate hip dysplasia:

• closed reduction - the operating physician, using certain manipulations, returns the femoral head to the acetabulum
• open reduction - the surgeon moves the head of the femur to a certain position and simultaneously divides and lengthens the tendons
• Femoral (rotational) osteotomy is a two-stage operation providing a stable position of the femur. In the first stage, the upper part of the femur is destroyed, on the second stage, the femoral bone is rotated to ensure its correct position relative to the acetabulum. The new position is fixed by metal plates
• osteotomy of the pelvis - deepening of the acetabulum with bolts and grafts
• tenotomy - lengthening of the tendon surgically

After the surgical intervention the child is hospitalized for several days. The result of a successful operation to eliminate hip dysplasia is the child's soon return to normal life without restriction of his movements.

How to treat hip dysplasia in children: tips and feedback

Olga about the pillow of Freik: "My daughters-twins were diagnosed with dysplasia in the first month of life. The orthopedist prescribed the pillows of Freik. The most interesting thing is that during the treatment the daughters were absolutely not capricious, and even slept quietly in their shinki at night.

I accustomed them to cushions gradually. On the first day they wore them for an hour, in the second - for three hours. On the third day I left my daughters in the pillows of Freik for 12 hours. If the children experienced discomfort, I did a relaxing massage for them.

Thanks to this wonderful adaptation both my daughters are absolutely healthy today "

Elena:"In our experience I can say: the earlier the dysplasia of the joints has been revealed, the easier and faster it will be for her to be treated.

When the son was, mes, on the basis of ultrasound results, the orthopedist diagnosed him: dysplasia of 1-2 degrees. At the consultation of the orthopedist, we were, because the baby had asymmetrical creases on the legs.

My child is absolutely healthy! That's how we managed to quickly defeat dysplasia without using tires, struts and other devices "

Oksana:"My son was diagnosed with dysplasia only in 10 months, although before that we had been examined at 1, 3 and 7 months. My son already walked well when he was plastered. The child had hysterics and shock.

Yes, and my husband, too. After 3 months, the plaster was removed. Instead, his son was given stirrups for 6 months. Then there was a massage and a course of electrophoresis with calcium. Now, finally, all our suffering is over.

The child is healthy and this is the most important thing "

Parents who treat children from dysplasia of the hip joints are very important to accurately fulfill all the prescriptions of an orthopedic doctor, because this disease can not go by itself.

Consequences of lack of treatment may include lameness, spinal curvature, osteochondrosis, coxarthrosis.

Often, neglected children's dysplasia leads to disability in adulthood.

A source: http://HeaClub.ru/kak-lechit-displaziyu-tazobedrennyh-sustavov-u-detej-gimnastika-protiv-displazii-tazobedrennyh-sustavov

Therapeutic exercises for dysplasia of the hip joint

Hip Dysplasia- this is an incorrect arrangement of the elements that make up the hip joint. In other words, dysplasia is a defect in the development of all the elements of the joint.

Unfortunately, this disease is not so rare, and, depending on the degree of displacement of the head of the femur, distinguish dislocation, subluxation and pre-hip femur.

It is very important to diagnose and treat this disease as early as possible, because the newborn does not complete the formation of the joint.
Parents should know the symptoms of this unpleasant disease so that, if detected, you can immediately go to the doctor.

The most characteristic sign of hip dysplasia is the restriction of movements with passive hip abduction.

Another way to determine the disease: the child is placed on the stomach, his legs are bent to him, as when crawling, in this position the affected joint becomes noticeable. As for the presence of the disease, an asymmetric location of the sub-glial and femoral folds may be said.

If the case is heavy, it is even possible to shorten the leg.
The success and effectiveness of treatment depends largely on its early onset, so if you have any even the slightest doubt, it is necessary to urgently consult an orthopedist, and the doctor will already confirm or refute diagnosis.

As a rule, a complex of therapeutic measures for hip dysplasia consists in treatment position (wide swaddling, tires are used), also therapeutic massage for children and gymnastics.

If the pathology is not expressed too much, then it is better to stop on such methods of treatment as therapeutic massage for children and gymnastics, especially since children suffering from dysplasia of the hip joint, at an early stage of treatment, these methods are excellent help.

It is enough several courses for the full recovery of the baby. If, at an early age, the movements are restricted, this can have a very negative effect on the further development of the musculoskeletal system.

Do not forget one important rule: while the child does not walk, do not perform any exercises "standing "squatting" no exercise in the vertical position of the body, because this can lead to even greater deformations of the hip the joint.

All exercises must be performed on a stiff surface - on a table or changing table, under the child it is necessary to put a waterproof diaper. Massage should be done 1 time a day. The time for the massage is the most optimal for the child, that is, when he is full, in a good mood and nothing bothers him. The course consists of 10-15 sessions. It is necessary to go through 2-3 courses, in order to improve the effect. It is important to remember that after all for young children massage is a big load, therefore it is necessary to take breaks between courses - 1 a month.

When you carry out the dilution of the hips of the child, do not make sudden movements, you must not allow the child to be hurt, otherwise it will cause a negative reaction on the part of the child.

If the child is in the tire, then massage and gymnastics should be done to the extent that this installation allows. While spreading the baby's bent legs, try to place them carefully on the table. In this case, be sure to observe whether there is an improvement.

After the sessions of massage and gymnastics, you should consult an orthopedic doctor. To determine the success of treatment, you may need to do an x-ray of the joint. The orthopedist will determine in what state the joint of the child is, in severe cases it is possible to apply tires.

Thus, if the child's condition allows and you have the opportunity, it is best to treat hip dysplasia with massage and LH (therapeutic gymnastics).

A source: http://lfk-gimnastika.com/lfk-dlya-detej/87-lechebnaya-gimnastika-pri-displazii-tazobedrennogo-sustava

10 most effective gymnastic exercises for dysplasia in a newborn

For infants, the treatment of dysplasia does not cause discomfort and discomfort. In general, the elimination of abnormalities is carried out with the help of special gymnastics in conjunction with other manipulations depending on what degree of dysplasia is diagnosed by a specialist during examination newborn.

How is pathology diagnosed and treated?

Dysplasia of the hip joints in nursing babies is revealed on several grounds, which can detect a neonatologist when examining a newborn in the first few days after his birth. Clear signs, indicating a lag in the development of joints, is:

• resistance of the baby in response to the doctor's attempts to dilute his legs;
• asymmetry folds on the legs of the child;
• a noticeable difference in the length of the legs;
• the legs are accompanied by a peculiar click.

If there are such signs to confirm the diagnosis of dysplasia, the doctor conducts an ultrasound examination of the newborn. If the specialist's fears are confirmed, he prescribes an immediate medical correction in the form of a whole complex of manipulations or individual procedures (in the initial stages).

Most often, for the elimination of dysplasia in newborn children, therapeutic exercise (LFK) and massage are prescribed. The key to the effectiveness of these measures is regularity. Carrying out all the recommendations of the doctor, you can see the positive dynamics already in the near future.

Preparation for classes

Therapeutic exercises for dysplasia of the hip joints in newborns are simple exercises that young parents can conduct themselves at home. The timing of the exercises should be selected, taking into account the schedule of the newborn's needs.

To the gymnastics was not just useful, but also exciting for a newborn baby, he should be rested. Also, the baby should not be hungry, but immediately after eating it is not recommended to perform the procedure.

Since the skin of babies is very tender and sensitive, exercises should be done with the preliminary use of natural baby oil. You should also remove rings and other accessories that can damage the tender skin of a newborn baby.

Complex of exercises

The most effective exercises that should be performed regularly if a newborn child is diagnosed with hip dysplasia:

• Breeding the legs. You should put your baby on a hard surface with your back. Then you need to bend his legs gently in the lap, lifting the hip joint. Further from this, the position of the baby's limb should be spread apart, so that the knees in the bent state touch the surface on which the infant lies. Repeat at a moderate pace, this exercise needs 4 to 6 times.
• Leg bending. To perform this exercise, the child should lie on his back. Align the legs of the baby and holding them by the heels, lift them as high as possible. Stretch straight limbs should be very carefully, trying to make the toes of the toddler's legs touch his head. Perform bending of the straight legs should be 5-6 times.
• "A bike". Taking the legs of the baby in the ankle, simulate the movements, like when riding a bicycle. In total, you can make 10-15 full flexions and extensions for each leg.
• Alternate flexion-extension of the legs. The principle of action, as in the previous exercise. Only to bend and unbend one leg first, 10-15 times, and then proceed to manipulations with the other.
• Circumference of legs. The kid remains in the same position, lying on his back. Taking his knees, slowly and accurately circular movements begin to breed the limbs, repeating the procedure several times. During manipulation, you can feel that the mobility of one leg will be less noticeable.
• "Scissors". This exercise is similar to the classic "scissors". Only for a newborn baby with dysplasia is it more simple. The legs of the baby lying on the back should be leveled and straightened out to the sides as far as possible, returning them to their original position, without crossing them. Repeat dilutions of straight limbs should be 8 to 10 times.
• "Frog". You can put the baby on your stomach. Bend his legs in the knees and in the region of the hip joint so that the resulting posture resembles a "frog". Hold your limbs in this position for 6-10 seconds, you can return them to their original position. It is recommended to perform 5-8 repetitions.
• Heels to buttocks. The newborn is in the same position, lying on his stomach. Put together the heels of the baby gently to the buttocks, holding the limbs in this position for 6-10 seconds. Returning the legs to their original position, repeat the exercise 5-7 times more.
• Staging on the feet. Alternately, the limbs of the baby lying on the abdomen should be pulled to the hip joint, bending at the knee and trying to expose the full foot. For each leg, you need to do 5 repetitions.
• Imitation of crawling. The child lies on his stomach. His feet need to make movements that mimic his crawling. Movements should be gentle and neat, lasting for 2-4 minutes.

Very effective will be gymnastic exercises on the ball and in the water. With dysplasia of the hip joint, such exercises exclude unnecessary strain on the joints, speeding up the recovery of the baby.

A source: http://www.e-motherhood.ru/uprazhnenija-pri-displazii-u-novorozhdennogo/

How to treat hip dysplasia: Exercise and massage

Dysplasia of the hip joints is a congenital disease, in which there is a violation of the structure of the acetabulum, the head of the hip, ligaments.

In the absence of the necessary treatment at an early age, changes are observed on the side of the nearby structures: the pelvis, the spine, the unaffected joint.

Frequent cases of coxarthrosis on the background of dysplasia.

The disease affects mainly girls, and in boys this pathology is observed 4-6 times less often. In general, hip dysplasia is characteristic of 2% of newborns.

The laying of the osteoarticular apparatus takes place in the first months of pregnancy. Therefore, the impact during this period on the mother's body of unfavorable factors can provoke violations of the structure of the joints.

The prevalence of dysplasia increases in areas with an unfavorable ecological background, family cases are observed. In addition, there are other causes of pathology, which primarily affect the mother's body. These include:

• Birth trauma.
• The use of certain medicines.
• Intrauterine infections.
• Work in harmful conditions.
• Elderly age.
• Diseases of the thyroid gland.
• Endocrine pathology.
• Hypovitaminosis.

There are cases of a combination of dysplasia with abnormalities in the development of other organs and systems, which should cause women to maximally protect their health during pregnancy. In any case, all possible factors must be eliminated in order to minimize the risk of dysplasia in the child.

Symptoms

The severity of simtomatics in children depends on the degree of hypoplasia of the hip joint structures. However, there is a pre-illness, that is, a certain point between the norm and pathology.

This can be in preterm infants and clinically does not manifest.

Dysplasia of 1 degree

At this stage, clear signs of underdevelopment of the joint are determined. Clinically, this is expressed by the asymmetry of the skin folds on the buttocks and hips, by the limitation of the lead, by the visual shortening of the limb.

This degree is called a prehumice of the hip, because the joint is located in a typical place, and there is no displacement of the bone.

Dysplasia of 2 degrees

If early correction has not been made at an early stage, then more pronounced changes occur in the hip joints.

At this stage, dysplasia is usually called a subluxation of the hip, because there is still no way out of the joint from the cavity.

Dysplasia of the 3rd degree

Progression of pathology further exacerbates the clinical picture of dysplasia. There is a complete displacement of the femoral head relative to the joint cavity of the hip bone, which indicates the development of dislocation.

To make the correct diagnosis help ultrasound and radiography, which indicate a clear morphological changes in the structure of the hip joint.

Treatment

Therapy for hip dysplasia is aimed at restoring the anatomical relationship between articular surfaces, normalizing active movements, developing the muscular apparatus. This is necessary for the correct physical and neuro-psychological development of children in the future.

Treatment of dysplasia should be started from the moment of the first detection of pathology, which should be done in the maternity hospital. The younger the child, the more plastic the tissues are, the more active their development, and therefore the treatment is faster and more effective.

It is necessary to ensure a complex effect on the joint structures taking into account the age of the child. These measures are used to correct dysplasia:

1. Conservative techniques (wide swaddling, Pavlik's stirrups, Freik's pillow).
2. Therapeutic gymnastics (LFK).
3. Massage.
4. Physiotherapy.
5. Operative treatment.

It is known that the head of the hip is guided into the articular cavity independently from the position of flexion and withdrawal of the lower limb. Therefore, conservative methods are aimed at maintaining the hip in this position.

At the same time, control over the correctness of manipulations is first carried out with the help of ultrasound, and after 6 months - according to radiography.

Without adequate therapy, hip dysplasia will subsequently lead to profound violations of the osteoarticular system and early disability. Treat the disease immediately, so that children are healthy in the future.

LFK for dysplasia

Therapeutic gymnastics is an obligatory component of correction of hip dysplasia in children.

Exercises exercise should be performed gently, carefully, so as not to provoke a shift of the hip from the articular cavity.

Also, the child should be properly held on his hands - behind his back, pressing him to him, so that he covers the adult with his feet.

Young children are shown such types of exercises:

• From the supine position on the back, bend the child's legs in the knees and hip joints with the subsequent breeding. It is necessary to try to touch with his knees the surface of the table.
• Flexion of straight or divorced legs in the hip joints with their bringing to the head, shoulders, together or alternately.
• Breeding the straight legs of the baby to the sides.
• Bend the legs in the knees so that the half-lotus posture is obtained.
• Alternate bending of the child's legs in the knees and hip joints, turning the foot inside.
• From the position on the abdomen, the legs alternately bend, reaching the level of the pelvis with the stop of the foot on the table, and then unbend with a lift up.

Exercises can be alternated, performing daily up to 10 times. Such gymnastics can be spent to newborns and children of early age together with общеразвивающей, effectively completing it.

Massage

Before exercise, exercise should be done massage. His techniques will help warm up the muscles, calm the child, preparing for more intensive methods of treatment.

Perform massage with dysplasia of the hip joints, taking into account the characteristics of the child's body and the degree of pathology.

All movements are carried out carefully, intractable joint probing is unacceptable.

In hip dysplasia, massage elements are recommended:

• Common stroking of the chest, abdomen, back, arms and legs. Embracing the lower extremity, spiral movements are made to the periarticular zone.
• Rubbing of the posterior surface of the thighs, buttocks and back with circular and spiral movements with some pressure. Then, a local massage of the affected joint is performed, pressing it with one hand.
• Spend the child's leg and its rotation inside, holding the knee with the other hand.
• After that, once again, stroking the palms, pressed to the skin.
• Spiral movements of the fingers or palm mass the area of ​​the inguinal fold and the lower part of the buttocks. After that, rub the area of ​​the dysplastic joint, shifting the skin.
• Diluting the baby's legs, bend them in the knees and rotate to the inside.
• Felting the muscles of the thighs between the palms.
• Carrying out the exercise "bike" - in the position on the back imitate riding on it.
• Conduct alternate bending and extension of the child's legs, covering them by the shins and simultaneously stretching the calf muscles.
• Stroking and rubbing the back, imitation of crawling.
• Massage the buttocks with stroking, kneading and patting.
• Rubbing of the waist, periarticular zone.
• Exercise called "hovering" - lift the baby, holding it in the palm of your hand under the pelvis and chest.

Massage for dysplasia of the hip joints at an early age and in newborns is lying down.

After six months, exercises are already possible in the sitting and standing position.

However, it must be remembered that they can be carried out only after consulting a pediatric orthopedist, so as not to harm the affected joint.

The massage is organically combined with exercises of exercise therapy for children. Such treatment is started as early as possible - even in newborns, to avoid the progression of the disease, the transition of dysplasia to a more severe form and future complications.

A source: http://MedOtvet.com/vosstanovlenie-sustavov/kak-lechit-displaziu-tazobedrennogo-sustava-uprazhneniya-i-massazh.html

Hip dysplasia in children: symptoms, treatment, photo

Disturbance of normal development of hip joints in a child, which manifests itself in utero, is called hip dysplasia in children. Most often this is expressed in the insufficient level of formation of the joint tissue.

It is extremely important to note this problem at the initial stage of its manifestation, as its further development can lead to an irreversible process and consequences, from which it will be very difficult to get rid of. Severe forms of this disease can make a child disabled.

This is due to the fact that this disease causes:

• Disproportionately the development of the lower extremities in comparison with the upper
• Legs become very weak and can not withstand high loads
• The probability of getting a dislocation or even a fracture becomes much greater
• In the external form, there are significant changes: violation of the body's posture, lack of fast walking, jumping or stalling when walking
• Long stay in an upright position causes painful sensations

Thus, the joints of the lower limbs can not fully perform their basic functions.

Dysplasia of hip joints in children - causes of the disease

What leads to the appearance of such anomalies in an unborn child?

Causes:

• First of all, the hereditary factor
• The mother has various infectious and female diseases
• Development of pathology in the fetus during pregnancy
• Prematurity: most organs in these children are not fully developed
• Malposition of the fetus in the womb
• Small volume of amniotic fluid
• High fetal weight
• Violation of the hormonal cycle: the presence in the body of a large amount of a certain hormone leads to a general weakness of the muscle system. This is especially true for progesterone.
• Poor ecological situation
• Severe working and rest conditions
• Strict swaddling of a child in childhood
• Narrow shoes for the child. This is the main cause of this disease.

It is necessary to closely monitor your child and if you are suspected of developing such a disease, immediately consult a doctor. Only he can make an accurate diagnosis with the help of a thorough examination using special equipment.

Many orthopedists are inspecting infants in the hospital.Dysplasia of the hip joint in children up to a year is determined by the following features:

• Absence of symmetry of inguinal, gluteal and popliteal folds on the skin
• Syndrome of "short hip"
• The presence of a kind of a click: the base of the thigh, when rotated, rotates in the cavity and produces an uncharacteristic sound
• The appearance of pain in the child when the doctor tries to spread his legs to the side. Pregnant children are at risk. The correct position of the feet is considered an angle of up to 90 degrees.
• The lower limbs of the child are constantly on the move and are able to perform uncharacteristic movements and evolve in different directions
• Adult children have a swaying gait, walk often on their toes, sway from side to side. All their appearance, they show that it is not possible to step on the heels because of the pain.

If parents notice at least one of these signs, it is necessary to show the child to the doctor. The earlier the examination is performed and the appropriate treatment is prescribed, the greater the likelihood of a positive outcome.

Diagnostics

Primary examination of the extremities in an orthopedist should be performed at the age of the child up to 1 month. This is due to the fact that the child does not walk yet, and there is no full load on his legs. Muscular tissue is still soft enough and can change.

At the older age, it is difficult to determine the presence of this disease by external symptoms, since its external manifestations are absent.

Signs of dysplasia of the hip joints in children after a year become frequent dislocations, child walking on socks, club foot when walking.

In addition, it is necessary to conduct X-ray and ultrasonography. The following defects can be detected in the pictures:

• Change in the functioning of the acetabulum
• Insufficient volume of development of bones and cartilage in the limbs
• Uncharacteristic length of ligaments or muscle capsules
• Frequent dislocations of the hip
• Changing the position of the bone in the joint

In addition, doctors distinguish several stages of dysplasia of hip joints in children: prelivor, subluxation and dislocation.

At the first stage, there is a slight change in the development of the joint in the acetabulum. Usually this stage is manifested in children in the hospital.

In the second stage, a general change in the base of the thigh is revealed. In this case, it is located in the same place: in the articular bag. These changes lead to a general disruption of the motor functions of the thigh and leg.

Thus, peculiar voids are formed, which are filled with connective tissue.

This stage is considered one of the most difficult, and it is very rarely treated. Usually in this case only the surgical operation of the patient will help.

Treatment of hip dysplasia in children

As already mentioned above, only an orthopedic doctor can diagnose. When confirming the diagnosis, do not despair, you must immediately proceed to treatment.

How long will it take, is it necessary to intervene, or can drugs be dealt with? This can only tell the attending physician.

It should be noted that these factors completely depend on the level of damage.

First of all, all types of treatment refer to strict fixation of the head of the hip joint of the child. This is necessary in order for it to move less, damaging adjacent areas.

In this case, the doctor is overlaid with a tire, medical stirrups are used, as well as compression long pants.

To eliminate hip dysplasia in children up to a year, either a wide swaddling or completely eliminating it is prescribed.

After the measures taken, it is necessary to carry out a set of measures aimed at strengthening the ligaments, joints and muscles of the lower extremities. Usually in this case the following measures are applied:

• Massage for hip dysplasia in children
• Physiotherapy for hip dysplasia in children. It will help not only to strengthen the muscles, but also to promote the correct distribution of the load and development of the respiratory system
• Gymnastic procedures
• Classes in the pool
• Classes with a thermal effect: in this method ozokerite and paraffin technologies are used.
• Physiotherapeutic procedures

Let's talk about these methods in more detail.

Massage

First of all, massage is prescribed for dysplasia of the hip joints in children. It is carried out in the following ways: the child is laid on his back, and then rolled on his tummy.

Perform massage, light movements starting with strokes. Next, you need to stretch your limbs well.

In no case can this be done with force and pressure. Then go to the abdominal area.

After that, they turn to the patient area, where an intensive massage is already performed using various technologies.

Exercise and exercise

Therapeutic physical training for hip dysplasia in children is aimed primarily at relieving tension and strengthening the muscles of the hip joint. It also helps to restore the motor activity of the damaged joint.

It can be used from the first days of a baby's life as an effect on the reflex zones of the lower extremities: parents gently stroke the foot and heel of the baby, while the response should be a reduction of fingers to feet.

In addition, this exercise helps to strengthen the muscles of the arms and trunk. As a gymnastics, try gently, turn the child from back to tummy and back. Experts recommend using a roller made of a towel for these purposes.

Physiotherapy

Physiotherapeutic procedures for dysplasia of hip joints in children from year to year include the use of: electrophoresis with a solution of calcium and chlorine; Use of ozocerite and paraffin for the treatment procedures. All the above technologies are aimed at strengthening the joints and ligaments.

It must be remembered that physical therapy, massage and gymnastics for dysplasia of the hip joints in children are carried out exclusively under the supervision of a doctor.

At home, these procedures are categorically contraindicated. It is also necessary to completely exclude any kind of warming up of the sore spot at home. You can not only get a burn, but also harm your child.

In most cases, these measures lead to a positive outcome of treatment.

In this case, parents can only prepare the child for subsequent procedures and alleviate their suffering. You can do this with the following measures:

1. Pillow Frame
2. Tight Pants
3. The stirrup of Pavlik.

The first device is aimed at fixing the limbs in the necessary position with the exception of pain and discomfort to the child. Usually it is used for babies younger than a month.

Its basic parameters are different and selected exclusively by the doctor based on the size of deformation and the individual characteristics of the child.

The next device is tight pants. They have the same effect as the previous device, but its difference is that the child's legs are fixed in the "frog" position, i. E.

The last device, which I would like to say in more detail, is Pavlik's stirrups.

They include an element such as a chest fixing corset with straps.

It is necessary to ensure that the belt located on the trunk maintains the even position of the body and fits well on the skin without causing discomfort.

In addition, as already mentioned above for young children, a wide swaddling is used.

It is aimed at covering the baby with a diaper and inserting soft pads between the legs of the baby.

This method is considered very careful and humane, since a tight contraction at this age is not required.

Currently, most mothers, for their own comfort, convenience and the release of hands, use slings. Many of them do not think that this is also a very good method of treating this disease in young children.

In addition to humane methods, more radical ones are also used: surgical intervention.

Usually they are prescribed for dysplasia of the hip joints in children from year to year.

First of all, the child is prescribed therapeutic massage. It is aimed at strengthening the muscles of the buttock zone and thigh.

Operations

Operative intervention is carried out using the following technologies:

• Use of osteotomy of the damaged area. It is aimed at changing the shape of the bones themselves. This procedure involves splitting the bone into two parts. Later, her contraction is done, and the patient goes home for rehabilitation. This method promotes better bone consolidation without any changes.
• For equalizing the length of the legs, palliative interventions are used. This method is used only when the patient has indications for surgery, but it is not possible to conduct it. This happens as a result of such circumstances: age, serious illnesses, blood diseases, allergic reactions.
• In severe cases, the patient's zone changes to an implant.

After the procedure, the legs of the baby are fixed with a special tire. Naturally the child will resist this, but it is necessary to explain that this is a forced measure. When the tire is applied, the optimal fusion of the damaged bones occurs, and the joints fall into place.

During rehabilitation, the child can move his legs, but the necessary interval and the correct position of the internal organs will remain in the same place. After healing by a doctor it will be recommended, for some time to wear tight stirrups, as well as cushions.

Rehabilitation period

This period of time is considered very important for proper healing, so the child must provide all the necessary conditions. Parents need to know some rules that must be followed:

• When the child is on the back, his lower limbs should be free and be on weight. This helps to relieve stress and load from the damaged area
• When carrying a child in your arms, you need to make sure that it is facing the adult, and his legs are around your torso
• It is necessary to exclude any vertical loads: the minimum load will lead to deformation of the correct position of the bone
• During driving for long distances, you should never hold the child in your arms or sit on the seat. For children, special chairs are provided in which the baby will sit comfortably.
• When placing the child on the stool for feeding should be put special rollers. It is best if they are made of a soft towel or a large pillow. So parents help the child's legs to be located in a position separated from each other.

Consequences of hip dysplasia in children

In the absence of dysplasia of the hip joints in children up to the year the possibility of its appearance, as well as the likelihood of complications in its treatment, is many times greater. With a qualified examination, timely treatment and properly performed care, the result will be only positive, and complications are minimal.

A source: https://glavvrach.com/displaziya-tazobedrennyh-sustavov-u-detej/